You must be logged in to access this feature.

Disparity exists in anesthesia practices between high- and low-to-middle income countries. The establishment of international collaborations and appropriate practice guidelines may improve care. In this issue of Anesthesiology, Yuill et al. assess the impact of a multiyear collaboration on obstetric anesthesia practices in the Republic of Armenia. A multinational team of physicians conducted six visits to Armenia between 2006 and 2015 to observe current practice and establish standards of obstetric anesthesia care. Over the course of the collaboration, guidelines for obstetric anesthesia were drafted and approved by the Armenian Ministry of Health. Collaboration to update and standardize obstetric anesthesia practices led to national practice guidelines and sustained improvements in clinical care in the Republic of Armenia.